[Autotransfusion using the bocksprung technique in patients with coronary heart disease and coronary artery bypass grafting].
Clinically, only patients treated with HES in stage of autologous blood sampling benefited significantly. Two patients showed adverse effects. The peri- and postoperative course was comparable. In the NaCl group one of the patients received homologous erythrocyte concentrates. None of the patients died pre-, peri- or postoperatively. 40% of the cardiosurgical patients could be considered for autologous blood donation. Isovolemic hemodilution with HES 200/0.5 10% was a suitable and safe measure in preoperative blood sampling. Physical exercise test should be performed before and after autologous blood donation. A reduced exercise tolerance suggests to stop autologous blood donation.
Koscielny
J
J
Abteilung für Klinische Hämostaseologie und Transfusionsmedizin, Universität des Saarlandes, Homburg, Deutschland.
Kiesewetter
H
H
Jung
F
F
Pindur
G
G
Jakobs
K
K
Wenzel
E
E
D001771:Blood Banks; D001804:Blood Transfusion, Autologous / Q000009:adverse effects; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000097:blood / Q000601:surgery*; D017707:Erythrocyte Transfusion; D005080:Exercise Test; D006438:Hemodilution; D006801:Humans
Autotransfusion in Bocksprungtechnik bei Patienten mit koronarer Herzkrankheit und geplantem aortokoronarem Venenbypass.